Paul Saladino· MD
The "quality" of LDL particles matters.
The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
The "quality" of LDL particles matters.
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we have plenty of evidence that yeah it's no good to have an increased total ldl particle count but if trying not to have too many small ldl particles because the evidence has certainly emerged that particle for particle they're probably more atherogenic than the more buoyant larger ldl particles
small, dense = more dangerous... large, buoyant less so.
you know the larger buoyant ldl seems to be more cardio protective because it is transporting you know fatty acids and cholesterol and things to cells and um it's the small dense ones that really kind of get stuck in the arteries and start this inflammatory cascade